Pediatric anesthesia & critical care

The clinical application of transcutaneous carbon dioxide monitoring during rigid bronchoscopy or microlaryngeal surgery in children

J Clin AnesthPublished Prospective observational study

Authors' conclusion

TcPCO2 levels reached approximately twice the upper limit of the normal range during rigid bronchoscopy and MLS. Availability of tcPCO2 monitoring did not affect these high levels, despite adjustments in strategy.

Study context

Population
Children <18 years undergoing rigid bronchoscopy or microlaryngeal surgery (MLS), tertiary pediatric hospital, January 2019 to March 2021
Participants
120 children
Exposure
tcPCO2 vs Control
Outcome
tcPCO2 AUC outside normal range
Follow-up
During the procedure
Methodological detailsbefore-after implementation, single-centre
  • Before-after implementation
  • Single-centre

Main finding

As reported in the abstract

P = 0.84

Observational data: associations, not effects.

Further findings

Maximal tcPCO2 level

P = 0.85

Anesthesiologist general satisfaction score with tcPCO2 monitoring
8.19 · unspecified 0.96

Spontaneous breathing

Spontaneous breathing associated with lower tcPCO2 levels

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

The clinical application of transcutaneous carbon dioxide monitoring during rigid bronchoscopy or microlaryngeal surgery in children. J Clin Anesth. Published 23 November 2024. doi:10.1016/j.jclinane.2024.111692

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